{"id":828,"date":"2016-04-28T17:43:46","date_gmt":"2016-04-28T22:43:46","guid":{"rendered":"http:\/\/www.kaptest.com\/blog\/prep\/?p=828"},"modified":"2020-09-11T20:42:57","modified_gmt":"2020-09-11T20:42:57","slug":"nclex-alternate-format-questions-hot-spot","status":"publish","type":"post","link":"https:\/\/wpapp.kaptest.com\/study\/nclex\/nclex-alternate-format-questions-hot-spot\/","title":{"rendered":"NCLEX-RN Alternate Format Questions: Hot Spot"},"content":{"rendered":"<p>NCLEX-RN\u00ae Hot Spot questions ask you to identify a location on a graphic or table. It is important to understand that this is not a test of your fine motor skills but is designed to evaluate your knowledge of nursing content, anatomy, and physiology and pathophysiology Like <a title=\"NCLEX Alternate Format Questions: Select All That Apply\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/nclex\/nclex-alternate-format-questions-select-all-that-apply\/\">select all that apply<\/a>, <a title=\"NCLEX-RN Alternate Format Questions: Fill-in-the-Blank\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/nclex\/nclex-rn-alternate-format-questions-fill-in-the-blank\/\">fill-in-the-blank<\/a>, and<a title=\"NCLEX-RN Alternate Format Questions: Drag and Drop\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/nclex\/nclex-rn-alternate-format-questions-drag-and-drop\/\"> drag-and-drop questions<\/a>, these types of questions are called\u00a0<i>alternate format questions\u00a0<\/i>and<i>\u00a0<\/i>are part of the test pool of questions for the NCLEX-RN<b>\u00a0<\/b>exam.<br \/>\n&nbsp;<br \/>\nLet&#8217;s take a look at an example:<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-0  el_before_av_promobox  avia-builder-el-first  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >NCLEX-RN Alternate Format Practice Question<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-1  el_after_av_heading  el_before_av_heading '>\t\t<div class='avia-promocontent'><p>\nThe nurse performs a physical assessment on an adult male. Identify the area where the nurse should place the stethoscope to auscultate heart sounds heard in the tricuspid area.<br \/>\n<a href=\"https:\/\/www.kaptest.com\/blog\/prep\/wp-content\/uploads\/sites\/21\/2016\/04\/Screen-Shot-2016-04-28-at-5.25.42-PM.png\"><img loading=\"lazy\" class=\"aligncenter size-medium wp-image-829\" src=\"https:\/\/www.kaptest.com\/blog\/prep\/wp-content\/uploads\/sites\/21\/2016\/04\/Screen-Shot-2016-04-28-at-5.25.42-PM-300x281.png\" alt=\"NCLEX Alternate Format Hot Spot Practice Question\" width=\"300\" height=\"281\" \/><\/a><\/p>\n<\/div><\/div><br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-2  el_after_av_promobox  el_before_av_heading  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Strategies for Alternate Format Questions: Hot Spot<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nThis question asks you to identify where you would listen to heart sounds in the tricuspid area. The strategy you should use is to locate anatomical landmarks. You need to know that the tricuspid area is located on the client\u2019s left side. It is found in the space between ribs, two ribs up from the bottom of the seven true ribs. The tricuspid area is located in the fourth and fifth intercostal spaces at the lower left of the sternal border.<br \/>\nUsing the computer\u2019s mouse, move the cursor to the location you think is correct. Then, left-click the mouse. Check to make sure that you have selected the location you wanted. Then enter your answer by clicking on the NEXT (N) button or pressing the Enter key. If you click on the right side of the chest, or four ribs up from the bottom, or at the midclavicular area instead of the sternal border, the location would be inaccurate for the tricuspid area and the question would be counted as incorrect. Just do your best and use anatomical landmarks to get your bearings and select the location.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-3  el_after_av_heading  el_before_av_promobox  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Solving Alternate Format Questions: Hot Spot<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nHere\u2019s the answer to this hot spot alternate format question.<br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-4  el_after_av_heading  el_before_av_iconlist '>\t\t<div class='avia-promocontent'><p>\nThe nurse performs a physical assessment on an adult male. Identify the area where the nurse should place the stethoscope to auscultate heart sounds heard in the tricuspid area.<br \/>\n<a href=\"https:\/\/www.kaptest.com\/blog\/prep\/wp-content\/uploads\/sites\/21\/2016\/04\/Screen-Shot-2016-04-28-at-5.33.52-PM.png\"><img loading=\"lazy\" class=\"aligncenter size-medium wp-image-830\" src=\"https:\/\/www.kaptest.com\/blog\/prep\/wp-content\/uploads\/sites\/21\/2016\/04\/Screen-Shot-2016-04-28-at-5.33.52-PM-300x276.png\" alt=\"NCLEX RN FORMAT ALTERNATE HOT SPOT PRACTICE\" width=\"300\" height=\"276\" \/><\/a><\/p>\n<\/div><\/div><br \/>\nIt is important for you to know where to listen to specific heart sounds. In addition to the tricuspid area, you should be able to locate other anatomical landmarks to evaluate heart sounds:<br \/>\n<div  class='avia-icon-list-container   avia-builder-el-5  el_after_av_promobox  el_before_av_sidebar '><ul class='avia-icon-list avia-icon-list-left av-iconlist-big avia_animate_when_almost_visible avia-iconlist-animate'>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue806' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Angle of Louis<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>The manubrial sternal junction at the second rib<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue806' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Aortic area<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>The second intercostal space to the <i>right <\/i>of the sternum<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue806' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Pulmonic area<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>The second intercostal space to the <i>left <\/i>of the sternum<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue806' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Erb\u2019s point<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>The\u00a0third intercostal space to the <i>left <\/i>of the sternum<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue806' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Mitral area<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>The\u00a0fifth intercostal space at the left midclavicular line<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<\/ul><\/div><br \/>\nIn the mitral area of an adult is the <i>apical impulse<\/i>, also known the point of maximal impulse (PMI), where the impulse of the left ventricle is felt most strongly; on an infant, the apical impulse is lateral to the left nipple.<br \/>\nPrevious: <a title=\"NCLEX-RN Alternate Format Questions: Select All That Apply\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/nclex\/nclex-alternate-format-questions-select-all-that-apply\/\">&lt; Select All That Apply Alternate Format Questions<\/a><br \/>\nNext: <a title=\"NCLEX-RN Alternate Format Questions: Fill-in-the-Blank\" href=\"https:\/\/www.kaptest.com\/blog\/prep\/nclex\/nclex-rn-alternate-format-questions-fill-in-the-blank\/\">Fill-in-the-blank Alternate Format Questions &gt;<\/a><br \/>\n<div  class='avia-builder-widget-area clearfix  avia-builder-el-6  el_after_av_iconlist  avia-builder-el-last '><div id=\"text-78\" class=\"widget clearfix widget_text\">\t\t\t<div class=\"textwidget\"><p><span data-sumome-listbuilder-embed-id=\"ed685fed995ca0b14adea942b9321bfdb4da66714744f69d9ba773e8becb00b9\"><\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NCLEX-RN\u00ae Hot Spot questions ask you to identify a location on a graphic or table. It is important to understand that this is not a test of your fine motor skills but is designed to evaluate your knowledge of nursing content, anatomy, and physiology and pathophysiology Like select all that apply, fill-in-the-blank, and drag-and-drop questions, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":27000,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[97],"tags":[],"_links":{"self":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/828"}],"collection":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/comments?post=828"}],"version-history":[{"count":5,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/828\/revisions"}],"predecessor-version":[{"id":36411,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/828\/revisions\/36411"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media\/27000"}],"wp:attachment":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media?parent=828"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/categories?post=828"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/tags?post=828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}